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Should a 70 year old take creatine?

3 min read

Research suggests that adults can lose up to 3-5% of their muscle mass per decade after age 30, a process that accelerates significantly after age 60. This natural decline, known as sarcopenia, raises a crucial question for older adults seeking to maintain strength and independence: should a 70 year old take creatine?

Quick Summary

Creatine supplementation is generally safe and beneficial for healthy older adults, especially when combined with resistance exercise, to counteract age-related muscle loss and improve physical performance. It can also support bone health and cognitive function, but requires a doctor's consultation for those with pre-existing kidney conditions. Standard doses are typically 3-5 grams daily, but specific needs should be discussed with a healthcare provider.

Key Points

  • Creatine is Safe for Most Healthy Seniors: Numerous studies have found creatine supplementation to be safe and effective for healthy older adults when taken at moderate dosages, typically 3-5 grams per day.

  • Enhances Muscle and Strength Gains: When combined with resistance training, creatine significantly increases muscle mass and strength in older adults, helping to counteract age-related muscle loss (sarcopenia).

  • Supports Bone Density: Research indicates that creatine supplementation may help maintain or improve bone mineral density, reducing the risk of osteoporosis and fractures.

  • Improves Cognitive Function: Beyond physical benefits, creatine has been shown to improve cognitive performance, including memory, especially in older adults.

  • Consult a Doctor First: It is essential for seniors, particularly those with pre-existing kidney conditions, to consult their physician before starting creatine, although it does not typically cause kidney damage in healthy individuals.

  • Use Creatine Monohydrate: Creatine monohydrate is the most studied and recommended form of creatine for both safety and effectiveness.

  • Requires Resistance Training for Best Results: The most significant benefits of creatine for seniors are realized when used in conjunction with a consistent resistance training program, not as a standalone supplement.

In This Article

Creatine and the Aging Body: Combating Sarcopenia

As the body ages, sarcopenia, the gradual loss of muscle mass, strength, and function, can occur. This can impact quality of life and increase the risk of falls and fractures. Creatine supplementation, particularly creatine monohydrate, has been shown to help older adults mitigate these effects. Creatine aids in regenerating ATP, the energy source for muscle cells, which becomes less efficient with age. Increased creatine phosphate allows muscles to perform more work, enhancing resistance training results.

Benefits of Creatine for a 70 Year Old

Beyond muscle growth and strength, creatine offers other benefits for seniors:

  • Improved Physical Performance: Combining creatine with resistance training in older adults leads to greater gains in lean body mass and upper/lower body strength, improving daily functional abilities.
  • Enhanced Bone Health: Creatine, with resistance training, may help maintain or increase bone mineral density by stimulating bone-forming cells, potentially reducing the risk of osteoporosis.
  • Better Cognitive Function: Creatine in the brain supports cognitive function by providing energy. Some studies suggest it can improve memory and cognitive processing in older adults.
  • Reduced Fatigue: By enhancing cellular energy production, creatine can help reduce physical and mental fatigue in older adults.

Safety Considerations for Creatine Use

Consulting a healthcare provider is important before starting creatine, especially with pre-existing conditions.

Creatine vs. Creatinine Creatine and creatinine are often confused. Creatinine is a waste product of creatine metabolism excreted by the kidneys. Creatine supplementation can increase serum creatinine levels, which might be mistaken for kidney damage. However, studies show creatine is safe for healthy kidneys at recommended doses. Those with pre-existing kidney disease should avoid creatine due to potential risks.

Potential Side Effects Creatine is well-tolerated in healthy individuals. Rare minor side effects include gastrointestinal upset or muscle cramps. Temporary water retention is common due to water being drawn into muscle cells. Serious side effects like kidney damage or liver issues are not supported by research.

Creatine Supplementation vs. Placebo in Older Adults

Feature Creatine Supplementation + Resistance Training Placebo + Resistance Training
Lean Mass Gain Significantly greater increases in lean mass (e.g., ~1.37 kg). Minimal to no change in lean mass.
Muscle Strength Greater gains in both upper- and lower-body strength. Smaller or no significant strength gains.
Functional Performance Improved functional outcomes, such as the sit-to-stand test. Less improvement in daily functional tasks.
Muscle Fatigue Delayed onset of muscle fatigue. Faster onset of muscle fatigue.
Bone Mineral Density Potential for greater maintenance of bone mineral density. Continued age-related decline in bone mineral density.

Proper Dosage and Type

Creatine monohydrate is the most researched and cost-effective form. A maintenance dose of 3-5 grams per day is sufficient for most healthy older adults. A loading phase of 20 grams per day for 5-7 days can speed up muscle saturation but is not required. Taking it with a meal or after a workout may enhance absorption, but consistent daily use is key.

Integrating Creatine into a Senior Wellness Plan

Creatine works best when combined with consistent resistance training. This could involve bodyweight exercises, bands, or light weights, as advised by a professional. A good wellness plan includes a protein-rich diet and other essential nutrients for muscle and bone health. Staying hydrated is also important when taking creatine. This combined approach can effectively combat aging effects, leading to greater strength and independence.

Conclusion

For a healthy 70 year old, creatine is generally safe and recommended as a supplement, especially with resistance training. It helps increase muscle mass and strength, improves physical performance, supports bone health, and enhances cognitive function. Risks are minimal for healthy individuals at recommended doses, and concerns about kidney damage are largely unfounded. Consulting a doctor is crucial, especially with pre-existing kidney disease. Incorporating creatine into a well-rounded plan can help older adults maintain strength and independence.

Optional Outbound Link: Learn more about creatine for older adults from the International Society of Sports Nutrition

Disclaimer

This article is for informational purposes only and is not medical advice. Always consult with a qualified healthcare professional before starting any new supplement regimen or fitness program. Individuals with pre-existing health conditions, especially kidney disease, should seek medical guidance before considering creatine supplementation.

Frequently Asked Questions

While some studies show limited benefits from creatine alone, the most significant and consistent results for muscle mass and strength in older adults come from combining creatine with a resistance training program. Taking the supplement without exercise may not yield measurable improvements in muscle function or size.

Creatine is generally considered safe for the kidneys in healthy older adults who follow recommended dosages. While it can increase serum creatinine levels, this is a normal metabolic byproduct and not an indicator of kidney damage. However, those with pre-existing kidney disease should avoid creatine and consult a doctor.

Creatine monohydrate is the most recommended form for seniors. It is the most extensively researched, proven to be safe and effective, and is widely available and affordable.

A standard maintenance dose of 3-5 grams of creatine monohydrate per day is recommended for most healthy older adults. A temporary loading phase is optional and consists of 20 grams per day (in divided doses) for 5-7 days.

No, creatine does not increase the risk of falls. In fact, by improving muscle strength and physical function, creatine supplementation can help enhance stability and reduce the risk of falling in older adults.

Yes, research indicates that creatine can play a beneficial role in cognitive health by supplying energy to the brain. Studies suggest it may help improve memory and mental clarity, especially in older adults.

While a 'loading phase' can saturate muscles with creatine in under a week, measurable improvements in muscle strength and mass are typically observed over several weeks or months of consistent supplementation and resistance training.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.